The Social Health of the Nation

The Social Health of the Nation

Author: Marc Miringoff

Publisher: Oxford University Press

Published: 1999-07-01

Total Pages: 263

ISBN-13: 0198030576

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This book is written for people who are skeptical and uneasy when they hear politicians, economists, and reporters tell Americans "You're never had it so good" as they recite lists of leading economic indicators. The Social Health of a Nation, as its subtitle indicates, tell us, "How America is Really Doing." The facts in this book confirm what many American know intuitively - they are not better off now, not with income inequality at its worst level in fifty years, not with more and more Americans dropped from insurance rolls, not with thousands of Americans feeling the effects of corporate downsizing, not with real wages on a long term decline. This book provides the facts to see the rest of the picture, the condition of the American national spirit that can never be revealed by economic indicators alone. It also provides a forceful argument that, without the social side of the picture, Americans are in the dark about the nation's progress. This book as not an ideological tract, however. It's purpose is portrayal, not prescription. Not everything reported is bad news; an entire chapter is devoted to indicators of improving social performance. Because it does not advocate, for example, a return to big government or any quick-fix solution, this book will be welcomed by readers from all parts of the political spectrum or of no particular political persuasion. It will appeal to concerned individuals from business, government, clergy, and other professions, and to those who represent no interest group. It will also be widely used as supplemental text in a variety of sociology, economics, and political science courses. The Social Health of the Nation is written by two sociologists, Marc and Luisa Miringoff. Marc is currently the Professor of Social Welfare Policy at Fordham University Graduate Center, and the founder and Director of the Fordham Institute for Innovation in Social Policy. Luisa is Professor of Socioogy at Vassar College, where she has served as Department Chair and Director of its Urban Studies Program. Both earned Ph.D. degrees from the University of Chicago. Since 1987, Marc has headed a research team to develop the Index of Social Health, a nationally recognized social barometer that has been featured in ten New York Times and four Washington Post articles. This index has commanded increasingly large electronic and print media attention because of its powerful presentation of trends in family life, income, health, housing, child poverty, and other social indicators of everyday life in the United States. The Social Health of the Nation will include the previously unreleased and very newsworthy Index for 1998. But it will contain much more. Influenced by the effectiveness of the Index of Social Health, in the summer of 1996, the Ford Foundation approached the authors with a plan. Alarmed by a lack of government attention in the United States to monitoring the nation's social health, the Foundation had a vision of creating a book building on the Index of Social Health, to show what is needed to advance this field and deepen its impact. To that end, the Foundation provided financial assistance for the book's development by funding Miringoff's Fordham Institute for Innovation in Social Policy to convene a twenty-five member team, the Working Group on Social Indicators, including nationally known pollster, Daniel Yankelovich, and Director of Research and Vice President of CNN, Judy Milestone. Each member of the Working Group was motivated to improve social reporting in the United States. They came from the media, universities, and government, representing fields as diversse as law, medicine, sociology, and economics. The vision of the Ford Foundation, with the assistance of this working group, has now become a reality in The Social Health of the Nation, a nine chapter book written by Marc and Marque Luisa Miringoff. This book does show the other side of the Official Portrait of How America is Doing, providing comprehensive coverage of improving, shifting, and worsening social performance. It fills in the blanks after all the economic indicators are posted. The book contains surprises, the same kind that have been made the yearly release of the Social Index of Health a subject of media attention for twelve years, an index whose 1998 figures will be released exclusively in this book. While some of the indicators will shock, other will give reason for hope, as we see evidence of improved performance in unlikely places. For those whose livelihoods and well-being depend on the social health of the United States, this book provides the information necessary to find creative solutions for improved performance. For students in a wide range of courses this book will become required reading.


U.S. Health in International Perspective

U.S. Health in International Perspective

Author: National Research Council

Publisher: National Academies Press

Published: 2013-04-12

Total Pages: 421

ISBN-13: 0309264146

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The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.


Integrating Social Care into the Delivery of Health Care

Integrating Social Care into the Delivery of Health Care

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-01-30

Total Pages: 195

ISBN-13: 0309493439

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Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.


The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-02-01

Total Pages: 536

ISBN-13: 0309133181

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The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.


Communities in Action

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Children's Health, the Nation's Wealth

Children's Health, the Nation's Wealth

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2004-10-18

Total Pages: 336

ISBN-13: 0309166608

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Children's health has clearly improved over the past several decades. Significant and positive gains have been made in lowering rates of infant mortality and morbidity from infectious diseases and accidental causes, improved access to health care, and reduction in the effects of environmental contaminants such as lead. Yet major questions still remain about how to assess the status of children's health, what factors should be monitored, and the appropriate measurement tools that should be used. Children's Health, the Nation's Wealth: Assessing and Improving Child Health provides a detailed examination of the information about children's health that is needed to help policy makers and program providers at the federal, state, and local levels. In order to improve children's health-and, thus, the health of future generations-it is critical to have data that can be used to assess both current conditions and possible future threats to children's health. This compelling book describes what is known about the health of children and what is needed to expand the knowledge. By strategically improving the health of children, we ensure healthier future generations to come.


Fat Nation

Fat Nation

Author: Jonathan Engel

Publisher: Rowman & Littlefield

Published: 2018-11-30

Total Pages: 217

ISBN-13: 1538117754

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The diet and weight-loss industry is worth $66 billion – billion!! The estimated annual health care costs of obesity-related illness are 190 billion or nearly 21% of annual medical spending in the United States. But how did we get here? Is this a battle we can’t win? What changes need to be made in order to scale back the incidence of obesity in the US, and, indeed, around the world? Here, Jonathan Engel reviews the sources of the problem and offers the science behind our modern propensity toward obesity. He offers a plan for helping address the problem, but admits that it is, indeed, an uphill battle. Nevertheless, given the magnitude of the costs in years of life and vigor lost, it is a battle worth fighting. Fat Nation is a social history of obesity in the United States since the second World War. In confronting this familiar topic from a historical perspective, Jonathan Engel attempts to show that obesity is a symptom of complex changes that have transpired over the past half century to our food, our living habits, our life patterns, our built environments, and our social interactions. He offers readers solid grounding in the known science underlying obesity (genetic set points, complex endocrine feedback loops, neurochemical messengering) but then makes the novel argument that obesity is a result of the interaction of our genes with our environment. That is, our bodies have always been programmed to become obese, but until recently never had the opportunity to do so. Now, with cheap calories ubiquitous (particularly in the form of sucrose), unwalkable physical spaces, deteriorating rituals and norms surrounding eating, and the withering of cooking skills, nearly every American daily confronts the challenge of not putting on weight. Given the outcomes, though, for those who are obese, Engel encourages us to address the problems and offers suggestions to help remedy the problem.


The Future of Public Health

The Future of Public Health

Author: Committee for the Study of the Future of Public Health

Publisher: National Academies Press

Published: 1988-01-15

Total Pages: 240

ISBN-13: 0309581907

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"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.


A Framework for Educating Health Professionals to Address the Social Determinants of Health

A Framework for Educating Health Professionals to Address the Social Determinants of Health

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2016-10-14

Total Pages: 173

ISBN-13: 0309392659

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The World Health Organization defines the social determinants of health as "the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life." These forces and systems include economic policies, development agendas, cultural and social norms, social policies, and political systems. In an era of pronounced human migration, changing demographics, and growing financial gaps between rich and poor, a fundamental understanding of how the conditions and circumstances in which individuals and populations exist affect mental and physical health is imperative. Educating health professionals about the social determinants of health generates awareness among those professionals about the potential root causes of ill health and the importance of addressing them in and with communities, contributing to more effective strategies for improving health and health care for underserved individuals, communities, and populations. Recently, the National Academies of Sciences, Engineering, and Medicine convened a workshop to develop a high-level framework for such health professional education. A Framework for Educating Health Professionals to Address the Social Determinants of Health also puts forth a conceptual model for the framework's use with the goal of helping stakeholder groups envision ways in which organizations, education, and communities can come together to address health inequalities.


Schools and Health

Schools and Health

Author: Committee on Comprehensive School Health Programs in Grades K-12

Publisher: National Academies Press

Published: 1997-12-09

Total Pages: 513

ISBN-13: 0309578582

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Schools and Health is a readable and well-organized book on comprehensive school health programs (CSHPs) for children in grades K-12. The book explores the needs of today's students and how those needs can be met through CSHP design and development. The committee provides broad recommendations for CSHPs, with suggestions and guidelines for national, state, and local actions. The volume examines how communities can become involved, explores models for CSHPs, and identifies elements of successful programs. Topics include: The history of and precedents for health programs in schools. The state of the art in physical education, health education, health services, mental health and pupil services, and nutrition and food services. Policies, finances, and other elements of CSHP infrastructure. Research and evaluation challenges. Schools and Health will be important to policymakers in health and education, school administrators, school physicians and nurses, health educators, social scientists, child advocates, teachers, and parents.